MEDICARE: TRANSPOT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1538599683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSPOT LLC

Provider Business Mailing Address
First Line	:	2549 WINSTON CT
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-4138
Country	:	US
Telephone Number	:	951-876-8185
Fax Number	:

Provider Business Practice Location Address
First Line	:	2549 WINSTON CT
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-4138
Country	:	US
Telephone Number	:	951-876-8185
Fax Number	:

Authorized Official
Title or Position	:	MEMBER OWNER
Name	:	MR. AHMED M MOHAMED I
Credential	:
Telephone Number	:	951-786-8185

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	11/26/2013

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Directions to “TRANSPOT LLC ” Practice Location

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